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Hypertension Self Evaluation & Assessment
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1) Is your systolic (top number), diastolic (bottom number) and/or pulse pressure too high?
*
Yes
No
2) Is your blood pressure high only when your doctor measures it?
*
Yes
No
3) When you take your own blood pressure is it too high?
*
Yes
No
4) Is your blood pressure normal with ambulatory blood pressure monitoring?
*
Yes
No
5) Do you take medication to control your blood pressure?
*
Yes
No
6) Are you interested in learning about natural alternatives to drugs to manage your blood pressure?
*
Yes
No
7) Do you exercise regularly?
*
Yes
No
8) Are you under stress?
*
Yes
No
9) Do you get 7-8 hours of restful sleep each night?
*
Yes
No
10) Are you overweight?
*
Yes
No
11) Are you pre-diabetic?
*
Yes
No
12) Are you interested in lifestyle, dietary, and supplements recommendations to help manage your blood pressure?
*
Yes
No
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